| NPI | 1134748478 |
|---|---|
| Former Name | ANNA K BISTLINE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD484330) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-03-22 |